Resumo
The authors report a rare case of a patient with urinary retention following an inguinal herniorraphy, due to extrinsic compression of the bladder by an extensive pelvic hematoma, diagnosed by cystourethrogram and pelvic computadorized tomography. A medical treatment was provided by vesical catheterization for seven days. After this period of time, the hematoma had disappeared and the patient recovered to spontaneous miction.
Inguinal hernia; Hematoma; Urinary retention
Inguinal hernia; Hematoma; Urinary retention
RELATOS DE CASOS
Retenção urinária aguda por extenso hematoma pelvico após herniorrafia inguinal
Acute urinary retention caused by an extensive pelvic hematoma after inguinal herniorraphy
Roberto Vaz JulianoI; Alexandre Cruz Henriques, TCBC.SPII; Antonio Corrêa Lopes Neto, RCBC-SPIII; Renata MatsumotoIV; Milton Borelli, ECBC-SPV; Eric Roger WroclawskiVI
IProfessor Assistente da Disciplina de Urologia da FMFUABC
IIProfessor Assistente da Disciplina de Cirurgia do Aparelho Digestivo da FMFUABC
IIIResidente de Urologia da FMFUABC
IVAcadêmica do 6º ano da FMFUABC
VProfessor Titular da Disciplina de Urologia da FMFUABC
VIProfessor Adjunto da Disciplina de Urologia e Responsável pelo Serviço de Urologia do Hospital Padre Anchieta da FMFUABC
Endereço para correspondência Endereço para correspondência: Dr. Antonio Corrêa Lopes Neto Rua Peixoto Gomide, 1950 Apto 71 Jardim América 01409-002 - São Paulo-SP
ABSTRACT
The authors report a rare case of a patient with urinary retention following an inguinal herniorraphy, due to extrinsic compression of the bladder by an extensive pelvic hematoma, diagnosed by cystourethrogram and pelvic computadorized tomography. A medical treatment was provided by vesical catheterization for seven days. After this period of time, the hematoma had disappeared and the patient recovered to spontaneous miction.
Key words: Inguinal hernia; Hematoma; Urinary retention.
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Recebido em 13/7/98
Aceito para publicação em 11/1/99
Trabalho realizado nas Disciplinas de Urologia e Cirurgia do Aparelho Digestivo da Faculdade de Medicina da Fundação do ABC (FMFUABC).
- 1. Pollak R, Nyhus LM -.Complications of groin hemia. Surg Clin N AM 1983;63:1.363-1.369.
- 2. Schimtz R, Kansy M, Moser KH, et al- Efect of low-dose subcutaneous heparin on postoperative wound hematomas: Randomized clinical trial on hospitalized inguinal hérnia patients in Germany. World J Surg 1995;19:416-419.
- 3. Wantz GE - Complications of inguinal hernial repair. Surg Clin N Am 1984;64:287-297.
- 4. Kluger Y, Altman GT, Deshmukh R, et al - Acute obstructive uropathy secondary to pelvic hematoma compressing the bladder: Report of two cases. J Trauma 1993;35:477-478.
- 5. Beerlage HP, Rosset JJMCH & Prima J - Association between haematoma after inguinal hernia repair and site of heparin injection. Eur J Surg 1992;158:287-288.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
09 Fev 2010 -
Data do Fascículo
Abr 1999
Histórico
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Aceito
11 Jan 1999 -
Recebido
13 Jul 1998